An aerobic walking programme versus muscle strengthening programme for chronic low back pain: a randomized controlled trial
- PMID: 22850802
- DOI: 10.1177/0269215512453353
An aerobic walking programme versus muscle strengthening programme for chronic low back pain: a randomized controlled trial
Abstract
Objective: To assess the effect of aerobic walking training as compared to active training, which includes muscle strengthening, on functional abilities among patients with chronic low back pain.
Design: Randomized controlled clinical trial with blind assessors.
Setting: Outpatient clinic.
Subjects: Fifty-two sedentary patients, aged 18-65 years with chronic low back pain. Patients who were post surgery, post trauma, with cardiovascular problems, and with oncological disease were excluded.
Intervention: Experimental 'walking' group: moderate intense treadmill walking; control 'exercise' group: specific low back exercise; both, twice a week for six weeks.
Main measures: Six-minute walking test, Fear-Avoidance Belief Questionnaire, back and abdomen muscle endurance tests, Oswestry Disability Questionnaire, Low Back Pain Functional Scale (LBPFS).
Results: Significant improvements were noted in all outcome measures in both groups with non-significant difference between groups. The mean distance in metres covered during 6 minutes increased by 70.7 (95% confidence interval (CI) 12.3-127.7) in the 'walking' group and by 43.8 (95% CI 19.6-68.0) in the 'exercise' group. The trunk flexor endurance test showed significant improvement in both groups, increasing by 0.6 (95% CI 0.0-1.1) in the 'walking' group and by 1.1 (95% CI 0.3-1.8) in the 'exercise' group.
Conclusions: A six-week walk training programme was as effective as six weeks of specific strengthening exercises programme for the low back.
Similar articles
-
Out of programme experience and training: going away to bring something back.Frontline Gastroenterol. 2011 Jan;2(1):43-44. doi: 10.1136/fg.2010.002931. Epub 2010 Dec 22. Frontline Gastroenterol. 2011. PMID: 28839581 Free PMC article. Review. No abstract available.
-
How effective is a modified exercise program on its own or with back school in chronic low back pain? A randomized-controlled clinical trial.J Back Musculoskelet Rehabil. 2014;27(4):553-61. doi: 10.3233/BMR-140481. J Back Musculoskelet Rehabil. 2014. PMID: 24867906 Clinical Trial.
-
A comparison of high intensity aerobic exercise and passive modalities for the treatment of workers with chronic low back pain: a randomized, controlled trial.Eur J Phys Rehabil Med. 2011 Sep;47(3):359-66. Epub 2011 May 23. Eur J Phys Rehabil Med. 2011. PMID: 21602759 Clinical Trial.
-
Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study.Clin Rehabil. 2009 Mar;23(3):238-47. doi: 10.1177/0269215508099862. Clin Rehabil. 2009. PMID: 19218298 Clinical Trial.
-
Exercise: a walk in the park?Mayo Clin Proc. 2007 Jul;82(7):797-8. doi: 10.4065/82.7.797. Mayo Clin Proc. 2007. PMID: 17605957 Review. No abstract available.
Cited by
-
Effect of aquatic exercise versus standard care on paraspinal and gluteal muscles morphology in individuals with chronic low back pain: a randomized controlled trial protocol.BMC Musculoskelet Disord. 2023 Dec 18;24(1):977. doi: 10.1186/s12891-023-07034-0. BMC Musculoskelet Disord. 2023. PMID: 38110922 Free PMC article.
-
Exercise intervention for patients with chronic low back pain: a systematic review and network meta-analysis.Front Public Health. 2023 Nov 17;11:1155225. doi: 10.3389/fpubh.2023.1155225. eCollection 2023. Front Public Health. 2023. PMID: 38035307 Free PMC article. Review.
-
The effectiveness of different aerobic exercises to improve pain intensity and disability in chronic low back pain patients: a systematic review.F1000Res. 2023 Jul 18;11:136. doi: 10.12688/f1000research.75440.2. eCollection 2022. F1000Res. 2023. PMID: 37854288 Free PMC article.
-
The Effects of Combined Motor Control and Isolated Extensor Strengthening versus General Exercise on Paraspinal Muscle Morphology, Composition, and Function in Patients with Chronic Low Back Pain: A Randomized Controlled Trial.J Clin Med. 2023 Sep 12;12(18):5920. doi: 10.3390/jcm12185920. J Clin Med. 2023. PMID: 37762861 Free PMC article.
-
Review articles (Meta-Analyses) effects of walking on cognitive function in individuals with mild cognitive impairment: a systematic review and meta-analysis.BMC Geriatr. 2023 Aug 21;23(1):500. doi: 10.1186/s12877-023-04235-z. BMC Geriatr. 2023. PMID: 37605156 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical